Abstract
Colorectal cancer is the second most common malignant disease in developed countries. Given that the process of sporadic cancer carcinogenesis is relatively slow, it is possible to successfully prevent this disease.
Czech National Colorectal Cancer Screening Program was launched in 2000 and since that time is in continual development in order to increase the effective coverage of the target population. It is currently available as two-step screening program (stool test for occult blood and colonoscopy) or one-step program (primary screening colonoscopy).
Quality of the program is evaluated using performance indicators – namely adenoma detection rate (ADR) and cecal intubation rate (CIR). The screening program in the Czech Republic enables long-term stabilization of incidence and a slight decrease in mortality from colorectal cancer.
To further reduce the incidence and mortality of this disease, greater participation of the target population using personalized invitation of target population and media campaigns are necessary